TEAR HERE

Acknowledgement Slip (To be lled by the applicant)

ISC Stamp & Signature

... continued overleaf

Head Oﬃce : Sadhana House, 1st Floor, 570 P B Marg, Worli, Mumbai – 400018.

Received from Mr./Ms./M/s. ___________________________________________________________________________________

an application for allotment of Units of the Plan / Option (as mentioned overleaf) of Mahindra Mutual Fund - along with Cheque / Demand Draft / Payment Instrument as detailed overleaf.

Please Note : All Purchases are subject to realisation of Cheques / Demand Drafts / Payment Instrument.

COMMON

APPLICATION FORM

Date :

D D

M M Y Y Y Y

1. EXISTING UNIT HOLDER INFORMATION (If you have existing Folio, please ll in folio no. in this section and proceed to sections 8 and 11.) (Refer General Instruction 3)

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer General Instruction 2)

KEY PARTNER / AGENT INFORMATION (Refer General Instruction 1)

Employee Unique

Identication Number (EUIN)

Internal Code for

Sub-Agent / Employee

ARN & ARN Name

Consent for sharing Transaction Feed with RIA (Applicable for investments through RIA only)

c I/We hereby give my/our consent to share/provide the transaction feed / portfolio holdings/ NAV etc. in respect of my/our investments under Direct Plan in the scheme(s) of Mahindra Mutual Fund, to the above mentioned SEBI Registered Investment

Advisor (RIA).

EUIN Declaration (only where EUIN box is left blank) (Refer General Instruction 1)

c I/We hereby conrm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the

advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

The details in our records under the folio number mentioned alongside will apply for this application.

2. MODE OF HOLDING [Please tick (3)

Single

Joint

Anyone or Survivor

3. UNIT HOLDER INFORMATION (Refer General Instruction 4)

(Please (3) any one) c c I am a rst time investor in Mutual Funds I am an existing investor in Mutual Funds (Default)

In case the purchase/ subscription amount is Rs. 10,000 or more and your Distributor has opted in to receive Transaction Charges, the same are deductible as applicable from the purchase/subscription amount and payable to the Distributor. Transaction Charges in case of investments through

SIP/Micro SIP are deductible only if the total commitment of investment (i.e. amount per SIP/Micro SIP installment x No. of installments) amounts to Rs. 10,000/- or more and shall be deducted in 3-4 installments. Units will be issued against the balance amount invested. Upfront commission

shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.

Bank Branch Code

Sub Agent's ARN /

Second Applicant Third Applicant

Sign HereSign HereSign Here

First/ Sole Applicant/ Guardian / PoA Holder / Karta

FOLIO NO.:

†

DATE OF BIRTH / INCORPORATION

D D

Y Y Y Y

†

Proof of date of birth (in case of minor) (3) c Attached

†Date of birth and Proof of Date of birth is mandatory in case of investments made on behalf of minor. If date of birth is available in KRA records the same shall be updated for this folio / investment. Applications shall be liable for rejection if the date of birth is not

mentioned in the application form or not available in KRA records or in case of mismatch of date of birth. ** Refer General Instruction 4F.

GENDER c Male c Female c Other

[Please (3)] c #KYC Proof Attached(Mandatory)

NAME OF FIRST / SOLE APPLICANT (In case of Minor, there shall be no jointholders) [Name and DOB shall be as per PAN for non-individual investors]

Mr. Ms. M/s.

PAN#/ PEKRN# KYC Identication No. (KIN):

Investors must read the Key Information Memorandum and the General Instructions before completing this Form.

FOR OFFICE USE ONLY

(TIME STAMP)

STATE

CONTACT DETAILS OF FIRST / SOLE APPLICANT

PIN CODE

MAILING ADDRESS OF FIRST / SOLE APPLICANT (Mandatory) (Address should be as per KYC records) (Refer Instruction 4A)General

^^Email Id

Overseas Address (Mandatory for NRI/PIO/FII/FPI Applications)

Mobile No.

Fax

Res.

Country Code

STD Code

Telephone : Oﬀ.

^^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email. (Refer General Instruction 9)

#Please attach Proof. Refer General instruction No 15 for PAN/PEKRN and No 17 for KYC.

CITY

Non-Individual Investors involved in/ providing any of the mentioned services (Please tick anyone)

c c c c Foreign Exchange / Money Changer Services Gaming / Gambling / Lottery / Casino Services Money Lending / Pawning None of the above

NAME OF GUARDIAN (in case of First / Sole Applicant is a Minor) / PoA HOLDER

Relationship with Minor@ Please (3) c Father c Mother c Court appointed Legal Guardian

Proof of relationship with minor@ Please (3) c Attached @ Mandatory

Mr. Ms. M/s.

Mobile No.

PAN#/ PEKRN#

[Please (3)] c #KYC Proof Attached(Mandatory)

KYC Identication No. (KIN):

CONTACT PERSON – DESIGNATION (in case of non-individual Investors)

Mobile No.

Designation

GSTIN**

c I/we wish to receive physical copy of the Annual Report or Abridged Summary thereof (Applicable only if email id is not available)

RIA Name & Code

QFUND.IN

TEAR HERE

Cheque / DD / Payment Instrument No. & Date

Drawn on (Bank and Branch)

Scheme(s)/Plan(s)/Option(s)/ Sub-option(s)

SIP/ Micro SIP Date (s)_______________________________________________________________

Amount in Figures (Rs.)

Top Up SIP Amount / Percentage _________________ Frequency ______________

6. FATCA and CRS DETAILS For Individuals (Mandatory) Non Individual investors including HUF should mandatorily ll separate FATCA/CRS form

Reason A Ô The country where the Account Holder is liable to pay tax does not issue Tax identication Numbers to its residents.

Reason B Ô No TIN required. (Select this reason Only if the authorities of the respective country of tax residence do not require the TIN to be collected).

Reason C Ô Others; please state the reason thereof_________________________________________________________________________________________

Sole/First Applicant/Guardian Second Applicant Third Applicant

Place of Birth

Country of Birth

Nationality Indian U.S. Others, please specify ____________ Indian U.S. Others, please specify ____________ Indian U.S. Others, please specify____________c c c c c c c c c

Tax Residence Address Type Residential Registered Oﬃce Business Residential Registered Oﬃce Business Residential Registered Oﬃce Businessc c c c c c c c c

(as per KYC records)

Are you a tax resident (i.e., are Yes / No Yes / No Yes / Noc c c c c c

you assessed for Tax) in any

other country outside India?

Country of Tax Residency (1) (1) (1)

(2) (2) (2)

(3) (3) (3)

Tax Identiication Number OR (1) (1) (1)

Functional Equivalent (2) (2) (2)

(3) (3) (3)

Identication Type (1) (1) (1)

(TIN of other, Please specify) (2) (2) (2)

(3) (3) (3)

If TIN is not available,

please tick the reason A,B,

or C (as dened below)

c c c A B C

Refer General Instructions 4C and 19

If 'YES', please ll below for ALL countries (other than India) in which you are a Resident for tax purposes i.e., where you are a Citizen / Resident / Green Card Holder / Tax Resident in the Respective countries.

7. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption purpose) (Refer General Instruction 6 & 10)

(Mandatory to attach proof, in case the pay-out bank account is diﬀerent from the bank account mentioned under Section 8 below.)

Account Type (Please ) Savings Current NRO NRE FCNR Others (please specify) _______________________________________✓ c c c c c c

IFSC Code***

*** Refer General Instruction 6C (Mandatory for Credit via RTGS / NEFT) (11 Character code appearing on your cheque leaf.

If you do not nd this on your cheque leaf, please check for the same with your bank)

Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 8) via Direct credit / RTGS / NEFT facility unless specied otherwise in writing.

Branch City

MICR Code

(The 9 digit code appears on your cheque

next to the cheque number)

For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.

Bank Name

Branch Address

Account No.

5c. Gross Annual Income / Net-worth (Rs.)

5b. Occupation Details [Please tick (✓)]

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Sole/First Applicant

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Second Applicant

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Third Applicant

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Third

Applicant

Individual

Non Individual

Sole/First Applicant

(Please select any one)

D D

M M Y Y Y Y

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

Second Applicant

(Please select any one)

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

D D

M M Y Y Y Y

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

Third Applicant

(Please select any one)

D D

M M Y Y Y Y

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

5a. Status of Applicants (Refer General Instruction4D) (Please tick one)

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Individual

Non Individual

Sole/First

Applicant

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Second

Applicant

Individual

Non Individual

5. APPLICANT DETAILS (Mandatory) (Refer general instruction 4)

4. JOINT APPLICANT DETAILS, If any ( Refer General Instruction 4) ( in Case of Minor, there shall be no joint holders)

I. NAME OF SECOND APPLICANT

GENDER c Male c Female c Other

[Please (✓)] c #KYC Proof Attached(Mandatory)

PAN#/ PEKRN#

Mr. Ms.

M/s.

KYC Identication No. (KIN):

5d. Politically Exposed Person (PEP) Status (Also applicable for authorised signatories/ Promoters/ Karta/ Trustee/ Whole time Directors)

c a PEP c a PEP c I am I am Related to Not Applicable

Sole/First Applicant (Please select any one)

Second Applicant (Please select any one)

Third Applicant (Please select any one)

c a PEP c a PEP c I am I am Related to Not Applicable

# Please attach Proof. Refer General Instruction No 15 for PAN/PEKRN and No 17 for KYC.

II. NAME OF THIRD APPLICANT

GENDER c Male c Female c Other

[Please (✓)] c #KYC Proof Attached(Mandatory)

PAN#/ PEKRN#

Mr. Ms.

M/s.

KYC Identication No. (KIN):

^^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email. (Refer General Instruction 9)

^^Email Id

Mobile No.

DATE OF BIRTH

D D

Y Y Y Y

^^Email Id

Mobile No.

DATE OF BIRTH

D D

Y Y Y Y

c I/we wish to receive physical copy of the Annual Report or Abridged Summary thereof (Applicable only if email id is not available)

For SIP through Auto Debit / NACH

please also ll & attach SIP

Registration cum Debit mandate form.

SIP through Post Dated Cheques (Use CTS (Cheque Truncation System) Cheques only)

The rst cheque & the Post dated cheques should be drawn on the same bank & account number.

No. of cheques attached

Payment Type :

c c Non-Third Party Payment Third Party Payment (Please attach 'Third Party Payment Declaration Form')

8B. For investment through SIP / Micro SIP mode

(Refer General Instruction 7)

8. INVESTMENTS & PAYMENT DETAILS [Please ( )] (Refer Instruction 7 for Scheme details and Instruction 5 & 8 for Payment and Third Party Payment Details)3

The name of the rst/ sole applicant must be pre-printed on the cheque for lumpsum Investment/ SIP Registration. FOR DEFAULT OPTIONS, PLEASE REFER KIM.

Cheque/ DD/

Payment Instrument/

UTR No. & Date

DD Charges,

if any

Net DD / Cheque

Amount

Drawn on

Bank / Branch

Payment Type :

c c Non-Third Party Payment Third Party Payment (Please attach 'Third Party Payment Declaration Form')

Bank Account Number

8A. For Lumpsum Investment

Scheme/Plan/Option/

Sub-option

Scheme/Plan/Option/Sub-option

(Mention Cheque details, if attached)

SIP Installment

Amount (`)

SIP Date(s)

(Refer instruction 7.1)

Frequency

Period

Top-Up (Optional) (Refer instruction 7.6)

¹ Monthly*

¹ Quarterly

¹ Monthly*

¹ Quarterly

¹ Yearly*

¹ Half-yearly

¹ Yearly*

¹ Half-yearly

Frequency

Cheque No. ____________________________

D D

M M Y Y Y Y

Start:

End :

or ¹ Until cancelled*

M M Y Y Y Y

Start:

End :

or ¹ Until cancelled*

M M Y Y Y Y

Cheque No. ____________________________

D D

M M Y Y Y Y

* Default Option. Note: Top-Up SIP facility is available only through NACH debit mandate. In case of Quarterly SIP and Percentage based Top up, only Yearly Top-up frequency is available. Percentage based Top-up feature is not available for Mahindra Mutual Fund Kar

Bachat Yojana. CAP Amount: Max SIP installment amount (including Top-up). In case, the SIP installment amount exceeds the maximum amount mentioned in the debit mandate, the SIP will continue with the last SIP installment amount.

CAP Month-Year: Month-Year from which SIP Top-Up will be discontinued.

Mahindra_________________________

__________________________

Top-Up Details CAP Details (Optional)

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

Investment

Amount

Mahindra_________________________

__________________________

For existing investors if 1st SIP Installment is through NACH mandate attach ¹ Blank cancelled cheque ¹ Copy of chequeOR

SIP 1 : Period

No. of cheques attached

M M Y Y Y Y M M Y Y Y Y

SIP 2 : Period

M M Y Y Y Y M M Y Y Y Y

1. Mahindra

2. Mahindra

Payment Through : Single Cheque Multiple Cheques ( c c Refer instruction 5 D)

NOTE: In case of, Payment through single cheque, the cheque/DD should be issued in favour of 'Mahindra MF Multiple Schemes' for the total investment amount mentioned below and the

cheque/DD details need to be lled only once. Same cheque cannot be used for both lumpsum & SIP investments.

TOTAL

Payment Through : Single Cheque Multiple Cheques ( c c Refer instruction 5 D)

TOTAL

TEAR HERE

Cheque / DD / Payment Instrument No. & Date

Drawn on (Bank and Branch)

Scheme(s)/Plan(s)/Option(s)/ Sub-option(s)

SIP/ Micro SIP Date (s)_______________________________________________________________

Amount in Figures (Rs.)

Top Up SIP Amount / Percentage _________________ Frequency ______________

6. FATCA and CRS DETAILS For Individuals (Mandatory) Non Individual investors including HUF should mandatorily ll separate FATCA/CRS form

Reason A Ô The country where the Account Holder is liable to pay tax does not issue Tax identication Numbers to its residents.

Reason B Ô No TIN required. (Select this reason Only if the authorities of the respective country of tax residence do not require the TIN to be collected).

Reason C Ô Others; please state the reason thereof_________________________________________________________________________________________

Sole/First Applicant/Guardian Second Applicant Third Applicant

Place of Birth

Country of Birth

Nationality Indian U.S. Others, please specify ____________ Indian U.S. Others, please specify ____________ Indian U.S. Others, please specify____________c c c c c c c c c

Tax Residence Address Type Residential Registered Oﬃce Business Residential Registered Oﬃce Business Residential Registered Oﬃce Businessc c c c c c c c c

(as per KYC records)

Are you a tax resident (i.e., are Yes / No Yes / No Yes / Noc c c c c c

you assessed for Tax) in any

other country outside India?

Country of Tax Residency (1) (1) (1)

(2) (2) (2)

(3) (3) (3)

Tax Identiication Number OR (1) (1) (1)

Functional Equivalent (2) (2) (2)

(3) (3) (3)

Identication Type (1) (1) (1)

(TIN of other, Please specify) (2) (2) (2)

(3) (3) (3)

If TIN is not available,

please tick the reason A,B,

or C (as dened below)

c c c A B C

Refer General Instructions 4C and 19

7. BANK ACCOUNT DETAILS OF THE FIRST / SOLE APPLICANT (For redemption purpose) (Refer General Instruction 6 & 10)

(Mandatory to attach proof, in case the pay-out bank account is diﬀerent from the bank account mentioned under Section 8 below.)

Account Type (Please ) Savings Current NRO NRE FCNR Others (please specify) _______________________________________✓ c c c c c c

IFSC Code***

*** Refer General Instruction 6C (Mandatory for Credit via RTGS / NEFT) (11 Character code appearing on your cheque leaf.

If you do not nd this on your cheque leaf, please check for the same with your bank)

Unitholders will receive redemption/ dividend proceeds directly into their bank account (as furnished in Section 8) via Direct credit / RTGS / NEFT facility unless specied otherwise in writing.

Branch City

MICR Code

(The 9 digit code appears on your cheque

next to the cheque number)

For unit holders opting to hold units in demat form, please ensure that the bank account linked with the demat account is mentioned here.

Bank Name

Branch Address

Account No.

5c. Gross Annual Income / Net-worth (Rs.)

5b. Occupation Details [Please tick (✓)]

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Sole/First Applicant

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Second Applicant

c Private Sector Service c Public Sector Service c Government Service c Student c Professional c Housewife c Business c Retired

c Agriculturist c Proprietorship c Others _________________________________ (Please specify)

Please select any one

Third Applicant

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Third

Applicant

Individual

Non Individual

Sole/First Applicant

(Please select any one)

D D

M M Y Y Y Y

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

Second Applicant

(Please select any one)

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

D D

M M Y Y Y Y

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

Third Applicant

(Please select any one)

D D

M M Y Y Y Y

c c c c c c Below 1 Lakh 1 - 5 Lakhs 5 - 10 Lakhs 10 - 25 Lakhs 25 Lakhs - 1 Crore >1 Crore

(Mandatory for Non-Individuals) Rs.__________________________________________as on (Not older than 1 year)

Gross Annual Income

Net-worth

5a. Status of Applicants (Refer General Instruction4D) (Please tick one)

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Individual

Non Individual

Sole/First

Applicant

c Resident Individual c NRI-Repatriation c NRI-Non Repatriation c Partnership c Trust c HUF c AOP c PIO c Company

c Body Corporate c FIIs c On Behalf of Minor c BOI c OCI c LLP c Bank c FI c Society / Club

c Foreign National Resident in India c QFI c FPI c Sole Proprietorship c Non Profit Organisation c Others _________________________________ (Please specify)

Second

Applicant

Individual

Non Individual

5. APPLICANT DETAILS (Mandatory) (Refer general instruction 4)

4. JOINT APPLICANT DETAILS, If any ( Refer General Instruction 4) ( in Case of Minor, there shall be no joint holders)

I. NAME OF SECOND APPLICANT

GENDER c Male c Female c Other

[Please (✓)] c #KYC Proof Attached(Mandatory)

PAN#/ PEKRN#

Mr. Ms.

M/s.

KYC Identication No. (KIN):

5d. Politically Exposed Person (PEP) Status (Also applicable for authorised signatories/ Promoters/ Karta/ Trustee/ Whole time Directors)

c a PEP c a PEP c I am I am Related to Not Applicable

Sole/First Applicant (Please select any one)

Second Applicant (Please select any one)

Third Applicant (Please select any one)

c a PEP c a PEP c I am I am Related to Not Applicable

# Please attach Proof. Refer General Instruction No 15 for PAN/PEKRN and No 17 for KYC.

II. NAME OF THIRD APPLICANT

GENDER c Male c Female c Other

[Please (✓)] c #KYC Proof Attached(Mandatory)

PAN#/ PEKRN#

Mr. Ms.

M/s.

KYC Identication No. (KIN):

^^ On providing email-id investors shall receive scheme wise annual report or an abridged summary thereof/ account statements/ statutory and other documents by email. (Refer General Instruction 9)

^^Email Id

Mobile No.

DATE OF BIRTH

D D

Y Y Y Y

^^Email Id

Mobile No.

DATE OF BIRTH

D D

Y Y Y Y

c I/we wish to receive physical copy of the Annual Report or Abridged Summary thereof (Applicable only if email id is not available)

For SIP through Auto Debit / NACH

please also ll & attach SIP

Registration cum Debit mandate form.

SIP through Post Dated Cheques (Use CTS (Cheque Truncation System) Cheques only)

The rst cheque & the Post dated cheques should be drawn on the same bank & account number.

No. of cheques attached

Payment Type :

c c Non-Third Party Payment Third Party Payment (Please attach 'Third Party Payment Declaration Form')

8B. For investment through SIP / Micro SIP mode

(Refer General Instruction 7)

8. INVESTMENTS & PAYMENT DETAILS [Please ( )] (Refer Instruction 7 for Scheme details and Instruction 5 & 8 for Payment and Third Party Payment Details)3

The name of the rst/ sole applicant must be pre-printed on the cheque for lumpsum Investment/ SIP Registration. FOR DEFAULT OPTIONS, PLEASE REFER KIM.

Cheque/ DD/

Payment Instrument/

UTR No. & Date

DD Charges,

if any

Net DD / Cheque

Amount

Drawn on

Bank / Branch

Payment Type :

c c Non-Third Party Payment Third Party Payment (Please attach 'Third Party Payment Declaration Form')

Bank Account Number

8A. For Lumpsum Investment

Scheme/Plan/Option/

Sub-option

Scheme/Plan/Option/Sub-option

(Mention Cheque details, if attached)

SIP Installment

Amount (`)

SIP Date(s)

(Refer instruction 7.1)

Frequency

Period

Top-Up (Optional) (Refer instruction 7.6)

¹ Monthly*

¹ Quarterly

¹ Monthly*

¹ Quarterly

¹ Yearly*

¹ Half-yearly

¹ Yearly*

¹ Half-yearly

Frequency

Cheque No. ____________________________

D D

M M Y Y Y Y

Start:

End :

or ¹ Until cancelled*

M M Y Y Y Y

Start:

End :

or ¹ Until cancelled*

M M Y Y Y Y

Cheque No. ____________________________

D D

M M Y Y Y Y

CAP Month-Year: Month-Year from which SIP Top-Up will be discontinued.

Mahindra_________________________

__________________________

Top-Up Details CAP Details (Optional)

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

Investment

Amount

Mahindra_________________________

__________________________

For existing investors if 1st SIP Installment is through NACH mandate attach ¹ Blank cancelled cheque ¹ Copy of chequeOR

SIP 1 : Period

No. of cheques attached

M M Y Y Y Y M M Y Y Y Y

SIP 2 : Period

M M Y Y Y Y M M Y Y Y Y

1. Mahindra

2. Mahindra

Payment Through : Single Cheque Multiple Cheques ( c c Refer instruction 5 D)

NOTE: In case of, Payment through single cheque, the cheque/DD should be issued in favour of 'Mahindra MF Multiple Schemes' for the total investment amount mentioned below and the

cheque/DD details need to be lled only once. Same cheque cannot be used for both lumpsum & SIP investments.

TOTAL

Payment Through : Single Cheque Multiple Cheques ( c c Refer instruction 5 D)

TOTAL

11. DECLARATION & SIGNATURE/S (Refer Instruction 13)

SIGNATURE(S)

(Please write Application Form No. / Folio No. on the reverse of the Cheque / Demand Draft / Payment Instrument.)

Third Applicant

Sign Here

Second Applicant

Sign Here

First / Sole Applicant/ Guardian / PoA Holder / Karta

Sign Here

I/We am/are not prohibited from accessing capital markets under any order/ruling/judgment etc., of any Regulation, including SEBI. I/We conrm that my application is in compliance with applicable

Indian and foreign laws. I / We hereby conrm and declare as under:-

I / We have read, understood and hereby agree to comply with the terms and conditions of the scheme related documents (i.e. Scheme Information Document, Statement of Additional Information

and Key Information Memorandum) and apply for allotment of Units of the Schemes of Mahindra Mutual Fund ('the Fund') indicated above. I/We am/are eligible Investor(s) as per the scheme related

documents and am/are authorised to make this investment as per the Constitutive documents/ authorization(s). The amount invested in the Scheme is derived through legitimate sources only and is

not held or designed for the purpose of contravention of any Act, Rules, Regulations or any statute or legislation or any other applicable laws or any Notications, Directives of the provisions of the

Income Tax Act, Anti Money Laundering Laws, Anti Corruption Laws or any other applicable laws enacted by the Government of India from time to time. I/We conrm that the funds invested in the

Scheme, legally belongs to me/us. In the event "Know Your Customer" process is not completed by me/us to the satisfaction of the Fund, I/we hereby authorize the Fund, to redeem the funds invested

in the Scheme, in favour of the applicant, at the applicable NAV prevailing on the date of such redemption and undertake such other action with such funds that may be required by the law. I / We have

not received nor have been induced by any rebate or gifts, directly or indirectly, in making this investment. The information given in / with this application form is true and correct and further agree to

furnish such other further/additional information as may be required by the Mahindra Asset Management Company Private Limited (AMC) / the Fund and undertake to inform the AMC / the

Fund/Registrars and Transfer Agent (RTA) in writing about any change in the information furnished from time to time. That in the event, the above information and/or any part of it is/are found to be

false/ untrue/misleading, I/We will be liable for the consequences arising therefrom. I/We hereby authorize you to disclose, share, remit in any form/manner/mode the above information and/or any

part of it including the changes/updates that may be provided by me/us to the Fund, its Sponsor/s, Trustees, AMC, its employees, agents and third party service providers, SEBI registered

intermediaries for single updation/ submission, any Indian or foreign statutory, regulatory, judicial, quasi- judicial authorities/agencies including but not limited to Financial Intelligence Unit-India

(FIU-IND) etc without any intimation/advice to me/us. If the transaction is delayed or not eﬀected at all for reasons of incomplete or incorrect information, I/We would not hold the AMC / the Fund,

their appointed service providers or representatives responsible. I/We will indemnify the Fund, AMC, Trustee, RTA and other intermediaries in case of any dispute regarding the eligibility, validity and

authorization of my/our transactions. The ARN holder (AMFI registered Distributor) has disclosed to me/us all the commissions (in the form of trail commission or any other mode), payable to

him/them for the diﬀerent competing Schemes of various Mutual Funds from amongst which the Scheme is being recommended to me/us. I/We do not have any existing Micro Investments which

together with the current Micro Investment application will result in aggregate investments exceeding Rs. 50,000/- in a year (applicable to Micro Investment investors only). I / We conrm that I / We

are not residents(s) of Canada as dened under the applicable laws of Canada. I/WE HEREBY CONFIRM THAT I/WE HAVE NOT BEEN OFFERED/ COMMUNICATED ANY INDICATIVE PORTFOLIO AND/ OR

ANY INDICATIVE YIELD BY THE FUND/AMC/ITS DISTRIBUTOR FOR THIS INVESTMENT. FATCA/CRS Certication/Declaration: I / We have understood the information requirements of this Form (read

along with the FATCA & CRS Instructions which are part of the FATCA / CRS Annexure) and hereby conrm that the information provided by me / us on this Form is true, correct, and complete to the

best of my knowledge and belief and that I shall be solely liable and responsible for the information submitted above. I / We also conrm that I / We have read and understood the FATCA & CRS Terms

and Conditions and hereby accept the same. I/We also undertake to keep you informed in writing about any changes/modication to the above information (including change in tax residency

status) in future within 30 days of such change and also undertake to provide any other additional information as may be required at your end or by domestic or overseas regulators / tax authorities.

Applicable to NRIs only: I / We conrm that I am / we are Non-Residents of Indian Nationality / Origin and that the funds are remitted from abroad through approved banking channels or from my /

our NRE / NRO / FCNR Account. I / We conrm that the details provided by me / us are true and correct.

[Please (3)] c I/We do not wish to Nominate

10. NOMINATION (Refer Instruction 14) (Mandatory for new folios of Individuals where mode of holding is single) (For Units in Non-Demat Form)

Name and Address of Nominee(s) Relationship

with

Applicant

Date of Birth Name and Address of Guardian Signature of Nominee (Optional)/

Guardian of Nominee (Mandatory)

Proportion (%) in which

the units will be shared by

each Nominee

(should aggregate to 100%)

(to be furnished in case the Nominee is a minor)

Nominee 1

Nominee 2

Nominee 3

9. UNIT HOLDING OPTION

c cDEMAT MODE* PHYSICAL MODE (Default)

(Refer Instruction 12)

*Demat Account details are mandatory if the investor wishes to hold the units in Demat Mode. Please ensure that the sequence of the names as mentioned in the application form matches with that

of the demat account. Investor opting to hold units in demat form, may provide a copy of the DP statement to enable us to match the demat details as stated in the application form.

NSDL

DP ID

Beneciary

Account No.

I N

DP NAME _______________________________________________________

CDSL

Beneciary

Account No.

DP NAME _______________________________________________________

Top-Up (Refer instruction 1b) (Optional)

¹ Yearly*

¹ Half-yearly

¹ Yearly*

¹ Half-yearly

Frequency

Top-Up Details CAP Details (Optional)

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

Amount*(`)

Percentage

M M Y Y Y Y

CAP Amount*(`)

CAP Month-Year

KEY PARTNER / AGENT INFORMATION (Refer General Instruction 1)

FOR OFFICE USE ONLY

(TIME STAMP)

Employee Unique

Identication Number (EUIN)

Internal Code for

Sub-Agent / Employee

ARN & ARN Name

Consent for sharing Transaction Feed with RIA (Applicable for investments through RIA only): I/We hereby give my/our consent to share/provide the transaction feed / portfolio holdings/ NAV etc. in respect of my/our investments under Direct c

Plan in the scheme(s) of Mahindra Mutual Fund, to the above mentioned SEBI Registered Investment Advisor (RIA).

EUIN Declaration (only where EUIN box is left blank) (Refer General Instruction 1): I/We hereby conrm that the EUIN box has been intentionally left blank by me/us as this transaction is executed without any interaction or advice by the c

employee/relationship manager/sales person of the above distributor/sub broker or notwithstanding the advice of in-appropriateness, if any, provided by the employee/relationship manager/sales person of the distributor/sub broker.

TRANSACTION CHARGES FOR APPLICATIONS THROUGH DISTRIBUTORS ONLY (Refer General Instruction 2) I am a rst time investor in Mutual Funds I am an existing investor in Mutual Funds (Default) (Please (3) any one) c c

through SIP/Micro SIP are deductible only if the total commitment of investment (i.e. amount per SIP/Micro SIP installment x No. of installments) amounts to Rs. 10,000/- or more and shall be deducted in 3-4 installments. Units will be issued against the balance amount invested.

Upfront commission shall be paid directly by the investor to the ARN Holder (AMFI registered Distributor) based on the investors’ assessment of various factors including the service rendered by the ARN Holder.

Bank Branch Code

Sub Agent's ARN /

(3) c c c SIP/ Top-Up SIP Micro SIP Change in Bank Account (Proceed directly to ll the NACH mandate and provide a cancelled cheque)

First/ Sole Applicant/ Guardian / PoA Holder / Karta Second Applicant

Sign Here

Third Applicant

Sign Here Sign Here

COMMON SIP/ TOP-UP SIP

REGISTRATION/UPGRADE

CUM DEBIT MANDATE FORM

Name

PAN / PEKRN^

Enclosed ( ) #KYC Proof ¹✓

Folio No.(Existing Unitholder)

Existing UMRN

(If UMRN is registered in the folio)

1. Investment and SIP Details: First / Sole Investor

TEAR HERE

One Time Bank Mandate

( NACH/Direct Debit Mandate Form)

First time investors subscribing to the Scheme through SIP-NACH / Auto Debit to complete this form compulsorily along with the Main Application Form. (Please read 'Terms &

Conditions for SIP through NACH / Auto Debit' overleaf). The Application Form should be completed in English and in BLOCK LETTERS only.

Date :

D D

M M Y Y Y Y

Utility Code

with Bank

IFSC

Or MICR

(Please ✓)

CREATE

MODIFY

CANCEL

Folio No. Phone

E-mail

Signature of Primary Bank Account Holder

(1) As in bank records

Sign Here

Signature of Bank Account Holder

(2) As in bank records

Signature of Bank Account Holder

(3) As in bank records

Name

PERIOD

From _____/_____/______________

To _____/_____/______________

Or Until Cancelled¹

MM YYYY

UMRN

I/We hereby authorize

Mahindra Mutual Fund

to debit (Please ✓)

¹ ¹ ¹ ¹ ¹ ¹ SB CA CC SB-NRE SB-NRO Others_____________________________

Bank Account Number

an amount of Rupees

` In Figures

PAN

1. I agree for the debit of mandate processing charges by the bank whom I am authorizing to debit my account as per latest schedule of charges of the banks.

2. This is to conrm that the declaration has been carefully read, understood & made by me/us. I am authorising the user entity/Corporate to debit my account, based on the instructions as agreed and signed by me. I have understood that I am authorised to cancel

/ amend this mandate by appropriately communicating the cancellation/amendment request to the user entity/Corporate or the bank where I have authorised debit.

Frequency : Monthly Quarterly Half Yearly Yearly As & when presented Debit Type : Fixed Amount Maximum Amount ¹ ¹ ¹ ¹ ¹ ¹ ¹

✓ ✓

Sponsor Bank Code

K K B K 0 R T G S M I N A C H 0 0 0 0 0 0 0 0 0 0 3 2 6 2

KYC Identication Number

2. Demat Account Details (Optional)

The investors shall receive payments of Redemption/Dividend proceeds in the Bank Account linked to the Demat A/c.

NSDL

DP ID

I N

DP NAME

CDSL

Beneciary Account No.

Declaration : I/We have read and understood the contents of the Scheme Information Document and Statement of Additional Information and the terms & conditions of SIP enrolment through Auto

Debit/NACH and agree to abide by the same. I /We hereby apply for enrolment under the SIP of above mentioned Scheme - Plan(s) / Option(s) and agree to abide by the terms and conditions of the same. I/We

hereby declare that the particulars given above are correct and express my willingness to make payments referred through participation in NACH/Auto Debit. I/We authorise the bank to honour the instructions

as mentioned in the application form. I/We also hereby authorise bank to debit charges towards verication of this mandate, if any. I/We agree that the AMC/Mutual Fund (including its aﬃliates), and any of its

oﬃcers directors, personnel and employees, shall not be held responsible for any delay/wrong debits on the part of the bank for executing the Auto Debit instruction of additional sum on a specied date from

my account. If the transaction is delayed or not eﬀected at all for reasons of incomplete or incorrect information, I/We would not hold the user institution of this mandate form responsible. I/We undertake to

keep suﬃcient funds in the funding account on the date of execution of standing instruction. I/We have not received nor been induced by any rebate or gifts, directly or indirectly, in making this investment. The

ARN holder has disclosed to me/us all the commissions(in the form of trail commission or any other mode), payable to him/them for the diﬀerent competing Schemes of various Mutual Funds from amongst

which the Scheme is being recommended to me/us.

^Refer General instruction No 15 in the KIM for PAN/PEKRN. # Please attach KYC proof if not already KYC validated

Beneciary Account No.

DP NAME

First/ Sole Applicant / Guardian / PoA Holder / Karta

Second Applicant

Sign Here

Third Applicant

Sign Here

New SIP/Upgrade

Existing SIP

Scheme/Plan/Option/Sub-option

(Mention Cheque details, if attached)

SIP Installment

Amount (`)

SIP Date(s)

(Refer Instruction 1(a) )

Frequency

Period

¹ New

Upgrade¹

¹ Monthly*

¹ Quarterly

¹ Monthly*

¹ Quarterly

No. of PDC cheque leaves: SIP 1, SIP 2

Cheque No. ____________

D D

M M Y Y Y Y

or ¹ Until cancelled*

Start:

M M Y Y Y Y

End :

M M Y Y Y Y

¹ New

Upgrade¹

Cheque No. ____________

D D

M M Y Y Y Y

Debit Bank Name: SIP 1, SIP 2

* Default Option. Note: (i) In case of, Payment through single cheque, the cheque/DD should be issued in favour of 'Mahindra MF Multiple Scheme' for the total investment amount mentioned below and the cheque/DD details need to be lled only once.

(ii) Top-Up SIP facility is available only through NACH debit mandate. For Upgrading ll complete information for active SIP. In case of Quarterly SIP and Percentage based Top up, only Yearly Top-up frequency is available. Percentage based Top-up feature is not

available for Mahindra Mutual Fund Kar Bachat Yojana. CAP Amount: Max SIP installment amount (including Top-up). In case, the SIP installment amount exceeds the maximum amount mentioned in the debit mandate, the SIP will continue with the last SIP

installment amount. CAP Month-Year: Month-Year from which SIP Top-Up will be discontinued.

or ¹ Until cancelled*

Start:

M M Y Y Y Y

End :

M M Y Y Y Y

RIA Name & Code

MULTIPLE CHEQUES

Refer Note (i) and general instruction 5 D.

SINGLE CHEQUE

For existing investors if 1st SIP Installment is through NACH mandate attach ¹ Blank cancelled cheque ¹ Copy of chequeOR

1. Mahindra

2. Mahindra

PAYMENT THROUGH

TOTAL